Individual
FLETCHER K TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1555 NE DIVISION ST, GRESHAM, OR 97030-4271
(503) 666-9476
Mailing address
1555 NE DIVISION STREET, APARTMENT 311, GRESHAM, OR 97030-3111
(503) 666-9476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013731
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
ORRPH0013731
OR
Other
Enumeration date
09/17/2013
Last updated
09/14/2016
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